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Chirurgie > Incluzii si odontectomii - 9-11 > Flashcards

Incluzii si odontectomii - 9-11 Flashcards

1
Q

Cauze pericoronarita

A
  1. Traumatism - solutie continuitate si comunicare sac folicular cu CO
  2. Punga paro dinti adiacenti
  3. Leziune decubit P mobila
  4. Atrofie avansata
  5. Proces de osteomielita
  6. Gangrena complicata D vecin
  7. Pe cale sanguina in cursul bolilor infectioase
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2
Q

Microbiologie in pericoronarite

A

Germeni saprofiti similari celor din sulcus
Coci aerobi G+ si anaerobi G-

Aerobi 5%
Anaerobi 35%
Mixte 60%

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3
Q

Complicatii regionale pericoronarita

A

Osteite
Osteomielite

cronic:
- osteiota Htrofica cu reactie proliferativa
- osteomielita

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4
Q

Procesul septic din complicatiile pericoronaritei se pot propaga la os pe cale

A
  1. Periostala - infectii t perimandibulare
  2. Ligamentara - de-a lungul radacinilor - lig alveolo dentare disociate - Archer
  3. Direct prin sacul pericoronar - in incluziile profunde
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5
Q

Implicare in complicatiile regionale ale pericoronarite - ganglioni

A

Frecvent SBM, genieni
Uneori pretragieni

Dau adenite acute sau cronice

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6
Q

Complicatii la distanta pericoronarite

A
  1. Tromboflebita sinusului cavernos
  2. Septicemii
  3. Complicatii septice pulmonare
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7
Q

Ggvostomatita odontiazica sau neurotrofica din incluzia M3mand localizari

A
  1. Capuson mucos
  2. Mucoasa obraji
  3. Stalp val palatin

Unilateral!

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8
Q

Forme ggvostomatita incluzie M3mand

A
  1. Congestiva simpla
  2. Ggvostomatita ulceromembranoasa/ulceronecrotica
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9
Q

Tulburari nervoase incluzie M3mand

A

Senzitive:

  1. Nevralgii dentare
  2. Sinalgii dentocutanate
  3. Otalgii
  4. Algii ce-faciale

Motorii:

  1. Trismus
  2. Contracturi fata
  3. Paralizii faciale

Sympatic

  1. Sialoree
  2. Asialie
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10
Q

Complicatii tumorale incluzie M3mand

A
  1. Chist folicular
  2. Keratochist
  3. Ameloblastom
  4. Odontom
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11
Q

Complicatii date de complicatiile tumorale ale incluziei de M3

A
  1. Supuratii spatii fasciale si fistule
  2. Ulcerare TU prin traumatism D antagonisti
  3. Fracturi in os patologic de unghi mandibular
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12
Q

Cea mai indicata examinare Rx pentru incluzia de M3mand

A

OPT

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13
Q

Principii de baza Peterson in odontectomia M3mand

A
  1. Expunere optima - lambou suficient de mare
  2. Ostectomia - acces si x M3inclus
  3. Separatie coronoradiculara - limitare defect
  4. Irigatie plaga postextractionala si indepartare fragmente D, eschile osoase, sac pericoronar
  5. Sutura intr-un plan cu fire separate
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14
Q

Tipuri incizie odontectomie M3

A
  1. In plic
  2. In baioneta
  3. Cu decolare lambou cu 3 laturi
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15
Q

Atitudinea terapeutica (conservator sau radicala) in incluzia de Cmax depinde de

A
  1. Spatiu pe arcada
  2. Varsta P
  3. Pozitie D
  4. Profunzime incluzie
  5. Anomalii forma, V
  6. Complicatii provocate de incluzie
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16
Q

Incizie in odontectomia Cmax pe cale P

A
  1. La 2mm de MG de-a lungul D - intre IC si fata M a M1
  2. Anteroposterior, pe linia mediana, in bolta - 3-4mm
17
Q

Instrumente luxatie si extractie Cmax inclus

A

Elevator drept
Cleste in baioneta

18
Q

Indicatii odontectomie Cmax cu separatie coronoradiculara

A
  1. Anomalii de V sau forma
  2. Angulare crescuta corono radiculara
  3. Incluzie orizontala profunda
  4. Contact intre radacina D vecini si C
19
Q

Incizie odontectomie Cmax pe cale V

A
  1. Trapezoidala
  2. In L
  3. Curba cu concavitatea in mucoasa mobila
20
Q

Accidente intraoperatorii odontectomie Cmax

A
  1. Deschidere fose nazale
  2. Deschidere sinus maxilar
  3. Fracturare apex D vecini
  4. Luxare D vecini
  5. Fracturare PA
21
Q

Indicatii ancorare pericoronara in redresare chiru-orto Cmax inclus

A
  1. Incluzie profunda in os
  2. Se prefigureaza decimarea/ruperea dispozitivului
  3. Din cauza sangerarii nu se poate efectua colajul
22
Q

Pericoronarita supurata se poate complica septic in:

A
  1. parti moi perimaxialre
  2. oase
  3. ganglioni
  4. distanta - spatii fasciale mandibulare
23
Q

Ancorare C in redresarea chiru orto

A

1)colare pe S coronara dispozitive orto - bracketsi, butoni, carlige
2)D situat la distanta
- accesoriu rigid - ligatura
- accesorii elastice - resorturi sarma, catena elastica

3)ancorare pericoronara - sarma wipla in jurul coletului

Chirurgie (8 decks)

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